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Home My WebLink About91-1667 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Type of Permit ELE~AL PL~NG BUILDING Property Owners Name: Job Address: 5'fl? eLl rID LI) 5"1- It <::,f uty D. PermitN~ 1667,g Date 7- z z-t] ( MEC~CAL G/i.J.lIlK~ Legal Description: Sub.Div. ~ff)\?IUIIL L ~ Blk.1z... Zoning CI: //-ZIP-2-/ - 00/0 S r o,{ftQ-{;:.. sll-IU> Description of Work Lot 7 tt<=h () 9~t}CJ- 6)070 /0 Y /'/- Complete Plans, ~cifications and Fee Must Accompany Application ~Ll C. {) ... i.> <ry, /" Estimated Cost: V 0 . ' Fee: ~ ::> ; Energy Code Readout: All work shal! be performed in accordance with the above and all City Codes and Ordinances, OCCUPATIONAL LICENSE # ~. ~." ~ 6-7;-"1 'f5;J 00 SIGNATURE COMPANY ADDRESS TELEPHONE # (J~c.JO. ~ BUILDING Ftr. Pre SLB Lintel FRM. Insul.CL WL SLB Tub Set Water Sewer Final Driveway t Tp.Serv, Rough In Meter Ca Const. P e POOl Pre-Me er Final Breakers Ducts Insl. Com pres r Final / Relnspections: When extra inspection trips are necessary due to anyone of the following reasoni: a charge Of~. ) dollars shall be made for each tIi;r. J)- a. d ~ / c!:,--' tTV\ (a) Wrong Address '../ (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called for (d) Work not ready for inspection when called. The payment of reinspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT C L, FFc {Ct:, s: I.../:;.L. 7 5 'i':::_ -, '-/ ' C~C fl~OK-E ADDRESS $1 PHONE 78:~' 93G~ OWNER eLl FFaRC') D . C1cHP".c j,.1.. 5' .5..7. LEGAL DESCRIPTION: LOT(S) ~ t PARCEL 1. D, fF PLArJY ~ BLOCK LOT SIZE / L./o x to 'fB- SUBDIVISION (\ If"1 ~~b r;~/ AREA SQ. FT. sy~o t' f Zc?Hri? J..II(...L.~ JOB LOCATION 1.) try} ~o 0 .t' t:t. I WORK PROPOSED:____New Construction ----Addition ____Alteration ____Repair ~nstall ____Sign/Temp, ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____# of Units _____M/H ____Swim, Pool 5rvR,~r,.,(. Stitt:::) Other ____Commercial ____Indust. ____Restaurant & Health Department Approval BUILDING SIZE: II) X )t.j, !'/e Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** COMMERCIAL : ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS,** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp, _W,R,E,C. _MECHANICAL $ Valuation of Mechanical Installation ____PLUMBIN'G GAS ROOFING ~Frame _Steel SPECIALTY TYPE OF CONSTRUCTION: _Block Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION BUILDER Company State Cert, or Regist, ff Signature City License Registration # ****************************************** ELECTRTCIAN Company State Cert. or Regist, # Si~nature City License Registration 0 ****************************************** PLUMBER Company State Cert. or Regist, # Signature City License Registration iF ****************************************** MECHANICAL Company State Cert. or Regist. 0 Signature City License Registration iF ****************************************** OTHER Company State Cert, or Regist, # Signature City License Registration iF APPLICATION APPROVED BY PE~lIT OFFICER, Alo r A R. I-z..e:. 71 '7f>".,0( "".,u- CONDITIONS OF PERMIT AFFIDAVIT A: NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictic,ns' which. ~ay be more restrictive than City regulations. The undersigned assules responsibility,for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake wor~, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the DI,ner and contractor ~ay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departeent, IBI3) 7BIl-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the 'ContractDr Sections' of this application for which they will be responsible. If you, as the owner sign as the contractDr, you are indicating that you, rather than the contractor, are responsible for the wor~. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to per~itting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Homeowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is sOleone Dther than the 'owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner' prior to cOI~encement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all wor~ will be done in co~pliance with all applicable laws regulating construction, zoning, and land development. Application is hereby .ade to obtain a pertit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a perlit and that all wor~ will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also certify that I understand that the regulations of other governmental agencies may aooly to the intended work, and that it is my responsibility to identify what adions I must take to be in cC'lllpliance. Such agencies include bill ~l e Jl(,t li'lited to: I Department of Envitonmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatlent I Southwest Florida Water ManaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Arey CorDS of EnQineers - Seawalls, Docks, Navigable Waterways I Departl~nt of Health ~ Rehabilitative Services. Environmental Health Unit - H~lls, Haste~ater Treat~ent. Septic Tanks I US Environmental Protection AQency - Asbestos abatement I also certify that, if fill material' is to be used in Fle,od Zone 'A" or 'A,etc.', it is underste,c,d t!.~t a drainage plan addressing a 'cQ.pensating volu~e' will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. A per.it issued shall be construed to be a license to proceed with the wor~ and not as authority to yiol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit iS5U~d shall becole invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six lonths after the tile the Hor~ is commenced. One 90 day e:IE~sioll Df tile, lay be allowed for the permit with fee charge of $15.00. The extension shall be r~quested in writing to the Building Official. An approved inspectic,n /!lust be le.ggedduring each six Mnth period, or the project Ilill be considered tibaiidc.ned, WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND P ST A "NOTICE OF COMMENCEMENT". SIGNATURE_U SIGNATURE_________--------------------- CONTRACTOR WNER OR DATE______L7~----~~~------------------- NOTARY AS TO f) M /J / OWNER OR AGENT_Ldl~-----~------- DATE ----------------------------------- NOTARY AS TO CONTRACTOR_____________________________ l\iOTARY PUB' Ie STAT ~ MY COMMISSION EXPIRE~Y COMr,IIs~;ioNm~~F.:.LO~'1..IDA, MY COMMISSION EXPIRES l'tDIm"TlIlttI"NOTI\RY PUBLIC UN~ER~t!ifRs. ------------------ OW,NER C:rTY OF C t. I 'F Fa .e DD . s'1~7 S+, PARCEL I.D. It !..0f\ ' 7 i ZEPHYRH:rLLS ~.')c Iff'> 1.."'.' C ,cJ ,,1''-- -~ .) % BU:rLD:rNG DEPARTMENT !5 Lex: t::: q.. .;l. , 9 t.A N"f 'B el:',,<to:J:i I PA ~'"1 E: ~ Y {'lly of' 2~F~'rt.ftl'-L$ JOB LOCATION SHOW ALL EX:rST:rNG & PROPOSED STRUCTURES G:rV:rNG D:rMENS:rONS & SETBACKS. r-- - "'-_n__' _.. I/f~ (.,. ,'.1 So [, () 'r~V.1 t C(.itI(j ~ C '/. ~ I i I ! <: TUlLt~(,.,E (:, A \< 0 f. ,',' -t: ji ~ 'I.'';' ~ ' ", - J~D __ - ...t- O' !_"J< ;,.,;;.l! UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. I lu ~ (10 v-S E !rJ ~ '.,~.~-~.~". _.,~ ,..--- FRO T PROPERTY LINE 0'" (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' la' P E- R X 0 I 10' P S 10' 0 T S I E N D G 20' 1 0' 10' 10' EXISTING la' PROPOSED 20'SGL FAM 30'DUPLEX 1 A' FRONT PROPERTY LINE FRONT PROPERTY LINE